Clinical Study on Treatment of Post-apoplectic Limb Spasm by Puncturing Acupoints of Governor Vessel

目的:探讨针刺督脉为主的方法治疗中风后肢体痉挛的临床意义.方法:针刺督脉为主配合关节局部取穴治疗中风后肢体痉挛患者29例,与传统取穴方法治疗的29例作疗效对比.结果:治疗前两组患者肢体Ashoworth张力评分及Fugl-Meyer运动功能评分比较差异无显著性(P＞0.05);治疗后两组张力评分评定差异有显著性(P＜0.05);运动功能评分与治疗前比较均明显升高(P＜0.01),但治疗组与对照组比较,肢体运动功能改善更显著(P＜0.05).结论:针刺督脉为主治疗中风后肢体痉挛较传统的针刺方法可明显提高疗效.

Objective： To investigate the clinical significance of treating post-apoplectic limb spasm by puncturing the acupoints of Governor Vessel as a main therapy. Methods： Twenty- nine patients with post-apoplectic limb spasm were treated by puncturing the acupoints of Governor Vessel plus the acupoints adjacent to joints, together with another 29 patients treated by conventional acupoints for comparison of the curative effects. Results： Before treatment, there was no significant difference in Ashoworth limb tension score and Fugl-Meyer motor function score between the two groups of patients （P〉0.05）. After treatment, there was significant difference in tension score between the two groups （P〈0.05）. Motor function score significantly increased as compared with that before the treatment in both groups （P〈0.01）, but limb motor function improved more obviously in the treatment group than in the control group （P〈0.05）. Conclusion： To puncture the acupoints of Governor Vessel as a main therapy can significantly improve the curative effect in the treatment of post-apoplectic limb spasm than conventional acupuncture method.